Individual provider · Type 1 NPI
Renee Nicole Russo, MA, LPC
Professional Counselor · Kalamazoo, MI
NPI number
1104374776
Active
Practice location
5360 Holiday Ter Ste 16A
Kalamazoo, MI 49009-2126
Mailing address
PO Box 334
Nazareth, MI 49074-0334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1104374776
Renee Nicole Russo, MA, LPC's National Provider Identifier is 1104374776, issued on Sep 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kalamazoo, MI. The record was last updated on Jul 25, 2023.